Tag Archive for: Focused shock waves

Case Report | Vol 4 | Issue 1 |  January-June 2024 | page: 16-19| Paul Germán Terán Vela, Felipe Sebastián Criollo Palacios, Estefanía Anabel Lozada Tobar, Luis Eduardo Guzmán Freire, Eloísa Abigael Nájera García

DOI: https://doi.org/10.13107/jrs.2024.v04.i01.125

Author: Paul Germán Terán Vela [1], Felipe Sebastián Criollo Palacios [2], Estefanía Anabel Lozada Tobar [1], Luis Eduardo Guzmán Freire [3], Eloísa Abigael Nájera García [2]

[1] Orthopaedic Surgeon, Orthopedic Specialties Center, Quito-Ecuador,
[2] NGC Diagnóstica, Orthopedic Oncology, Quito-Ecuador,
[3] Physician, Orthopedic Specialties Center, Quito-Ecuador.

Address of Correspondence
Dr. Paul Germán Terán Vela,
Orthopaedic Surgeon, Orthopedic Specialties Center, Quito-Ecuador.
E-mail: paulteranmd@gmail.com

Abstract

Papillary intralymphatic angioendothelioma (PILA) or Dabska tumor (DT) is a low-grade angiosarcoma. This vascular tumor usually has a higher incidence during childhood and occurs the most in the extremities and trunk. DT is locally aggressive, and no high metastatic potential is reported. We present a case of a 34-year-old female patient, treated with extracorporeal shock wave therapy (ESWT) for a misdiagnosis of left patellar tendinopathy. Due to the persistence and intensification of her symptoms, she is re-evaluated by Orthopedic Specialists. In magnetic resonance imaging studies, a mass was identified in the left external femoral condyle measuring approximately 10 mm with significant diffuse bone edema. Surgical resection was performed, and a PILA was identified by immunohistochemistry. In this case report, the complications of the use of focused ESWT and the histopathological characteristics of DT are discussed.
Keywords: Dabska tumor, Intralymphatic papillary angioendothelioma, Focused shock waves, Complications

References:

1. Schwartz RA, Dabski C, Da M. The da bska tumor: A thirty-year retrospect. Dermatology 2000;201:1-5.
2. Fanburg-Smith JC, Michal M, Partanen TA, Alitalo K, Miettinen M. Papillary intralymphatic angioendothelioma (PILA). A report of twelve cases of a distinctive vascular tumor with phenotypic features of lymphatic vessels. Am J Surg Pathol 1999;23:1004-10.
3. Fletcher CD, Krishnan K, Mertens UF. Pathology and Genetics of Tumours of Soft Tissue and Bone. Switzerland: WHO; 2002.
4. Nakayama T, Nishino M, Takasu K, Hayakawa K, Toguchida J, Tanaka C. Endovascular papillary angioendothelioma (Dabska tumor) of bone. Orthopedics 2004;27:327-8.
5. Bhatia A, Nada R, Kumar Y, Menon P. Dabska tumor (Endovascular papillary angioendothelioma) of testis: A case report with brief review of literature. Diagn Pathol 2006;1:12.
6. Pozo-Kreilinger JJ, Pena-Burgos EM, Ortiz-Cruz EJ, Cordero-García JM, Barrientos Ruiz I, Tapia-Viñe M, Peleteiro-Pensado M, Bernabéu-Taboada D. Primary intraosseous papillary intralymphatic angioendothelioma of the distal femoral epiphysis: a case report with literature review. Skeletal Radiol. 2024 Apr 15. doi: 10.1007/s00256-024-04674-8. Epub ahead of print. PMID: 38619614. Moya D, Ramón S, Guiloff L, Terán P, Eid J, Serrano E. Poor results and complications in the use of focused shockwaves and radial pressure waves in musculoskeletal pathology. Rehabilitacion (Madr) 2022;56:64-73.
7. Wang CJ, Wang FS, Yang K. WANG Biological Mechanisms of ESWT. ISMST Newsletter; 2006. p. 5-11. Available from: http://www.shockwave.cc/e107_images/custom/sw-bioogical_mechanism_of_eswt.pdf [Last accessed on 2024 May 19].
8. Moya D, Ramón S, Schaden W, Wang CJ, Guiloff L, Cheng JH. The role of extracorporeal shockwave treatment in musculoskeletal disorders. J Bone Joint Surg 2018;100:251-63.
9. ISMST-International Society for Medical Shockwave Treatment ESWT Guidelines. Available from: https://www.ismst.com. Last accessed April 2024.

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